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Body Dysmorphic Disorder

Epidemiology
1. Incidence
  1. General population: 1.9%
  2. Psychiatric outpatients: 12%
2. Pursuit of surgical correction in 50% of BDD patients
Signs
1. Preoccupation with physical appearance
  1. Facial flaws are most common preoccupation
  2. Imagined defect or Slight defect
2. Associated Compulsive Behaviors
  1. Mirror checking
  2. Excessive grooming
  3. Skin picking
3. Disordered functioning
  1. Severe distress
  2. Impaired work or social functioning
  3. Suicidal Ideation or attempt
Management: Similar to Obsessive Compulsive Disorder
1. Selective Serotonin Reuptake Inhibitors (SSRIs)
2. Clomipramine
References
1. Hollander (1999) Arch Gen Psychiatry 56:1033

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 6/1/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.